Active NPI
Heartland Center for Autism
- Psychiatric Residential Treatment Facility
- Okemos, MI
National Provider Identifier
1568356277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- HEARTLAND CENTER FOR AUTISM
- Practice address
- 1909 Tahoe Cir
Okemos, MI 48864-2770 - Phone
- (616) 272-6171
- NPI assigned
- Jun 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Fedorowych
- Title
- Ceo
- Phone
- (616) 272-6171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
1909 Tahoe Cir
Okemos, MI 48864-2770
Mailing address
7155 W Hidden LK
Perry, MI 48872-8152
Phone (616) 272-6171
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Center for Autism
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Okemos, MI
- NPI 1972210888
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Residential Treatment Facility
- Okemos, MI
- NPI 1972210888
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Okemos, MI
- NPI 1245196690
-
- Behavior Technician
- Okemos, MI
- NPI 1801752258
-
- Behavior Technician
- Okemos, MI
- NPI 1902762347
-
- Behavior Technician
- Okemos, MI
- NPI 1801752266
-
- Behavior Analyst
- Irvine, CA
- NPI 1093247033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749254400000",
"number": "1568356277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 W HIDDEN LK",
"city": "PERRY",
"state": "MI",
"postal_code": "488728152",
"telephone_number": "616-272-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 TAHOE CIR",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642770",
"telephone_number": "616-272-6171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND CENTER FOR AUTISM",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A",
"authorized_official_last_name": "FEDOROWYCH",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-272-6171"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.